NPI | 1982261525 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 2086S0122X Surgery Plastic and Reconstructive Surgery (Licence: MN 76437) |
Additional Taxonomies | 207YX0905X Otolaryngology Otolaryngology/Facial Plastic Surgery (Licence: MN 76437) |
Enumeration Date | 2019-05-20 |
Last Update Date | 2025-06-11 |